CAT | Dentistry

Dentistry Case #3

Monday, April 11th, 2011

Before

Before

Our next dentistry case highlights caudal mouth stomatitis in a cat. “Nonie” is a 10 year old domestic shorthair cat with an uneventful medical history. Her problems began with drooling and difficulty eating in the fall of 2010. She was given a dental cleaning and placed on antibiotics for a short time. She continued to have drooling and difficulty eating. We first examined her in January of 2011. At that time her treatment consisted of steroid injections every 2 weeks to control the swelling in her mouth. On her exam she had severe caudal mouth stomatitis with swelling and ulceration of the gingiva adjacent to her premolars and molars. There was no sign of irritation along the canines and incisors.

Radiograph showing tooth resorption


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Dentistry Cases #2

Monday, March 28th, 2011

Today we are going to highlight dental caries lesions, also known as cavities.  They can occur in both dogs and cats but are more common in dogs.  They can be drilled and filled the same as is done in people if they are small.  If they become to large it is necessary to remove the tooth.  Here we have an example of each.

Cavity in left tooth


Cavity after filling

In the first case, “Sasha”, we have a small cavity in the left hand tooth which we were able to clean and fill. The tooth next to it had such severe periodontal disease that it was extracted.

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Dentistry Cases #1 Part 3

Thursday, February 17th, 2011

Before

For the third part of “Coco’s” treatment we will discuss hemisection.  When a major support tooth has one diseased root this treatment may save the majority of the tooth and maintain it’s function.  The before picture of her lower first molar does not show severe periodontal disease.

Radiograph shows bone loss around root.

As you can see the radiograph (x-ray) shows that there is severe bone loss around the smaller root but the larger root still has full bone support.  Because the larger root is associated with the bulk of the crown we can try to keep a healthy crown.
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Dentistry Cases #1 Part 2

Monday, January 31st, 2011

For the second part of “Coco’s” treatment we will cover open root planing.  This procedure is used when a multi-rooted tooth has bone loss of >50% on one or more roots.  To effectively regrow new bone all of the abnormal tissue must be removed.  To do this we open up the gumline with a flap and clean out any soft tissue growing where the bone once was.  Any soft tissue left behind will cause the bone loss to continue.  Once the soft tissue is removed the tooth root is treated to pull out any particles that have become wedged in the microtubules.  Once the root is prepped we apply an artificial bone graft to the area.  This graft allows natural bone to regrow in the area and is the same strength as natural bone.  To help the healing of the gum as well as treat any starting infection we top the bone graft with antibiotic gel.  This antibiotic gel, Doxirobe, has unique properties of decreasing inflammation and helping the gum to readhere to the tooth.  Once the gel is applied we close the gum back over the area.  This is a great procedure to fix teeth that would otherwise have been lost.  The large tooth in the picture is a perfect candidate for this procedure once the tooth behind it has been removed.
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Dentistry Cases #1

Thursday, January 6th, 2011

Welcome to our new collection of interesting and educational dental cases. We will start off with an interesting case that required a wide variety of procedures.
“Coco” is a seven year old miniature poodle who had never had a dental cleaning. Other than a little bit of bad breath, her owners had not seen any changes in her active personality and she was eating her food well. This helps to show that pets do not always show dental pain in the way owners expect them to. While most owners notice the pet is more active after the dental work the slow drop in activity is not often noted. Coco had such severe periodontal disease that we are breaking the summary of her treatment into a three part series. Today the first part will focus on complicated extractions.

Before


After Cleaning, Before Extraction

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